Juana M. Munoz
Azle,USA
Summary
Accomplished Registered Nursing professional specializing in Emergency and Progressive Care Medicine. Extensive experience in acute patient care, rapid assessment, critical interventions, and charge nurse responsibilities. Proven track record of promoting team collaboration, upholding high standards, and adapting to evolving demands. Recognized for strong leadership, solid clinical judgment, sharp critical thinking, effective communication, and unwavering commitment to achieving superior patient outcomes in dynamic healthcare settings.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Urgent Care Registered Nurse
John Peter Smith Hospital
05.2020 - Current
- Performed rapid assessments and triage of walk in patients presenting with acute illnesses, minor injuries, and urgent medical conditions across all age group.
- Escalated high-risk cases( e.g., chest pain, stroke symptoms, sepsis sign) for emergency transport per clinical judgement and triage protocols.
- Provided patient education on medication, follow-ip care, symptoms management, and return precautions , promoting safe discharge and self-care.
- Supported Providers with procedures such as laceration repairs, abscess drainage, I &ds, and foreign body removal, ensuring patient comfort ans septic techniques.
- Documented patient care thoroughly and efficiently using EMR systems to maintain accurate and timely records.
- Initiated and administered treatments including wound are, splinting, nebulizer therapy, IV hydration, and medications administration per provider orders and standing protocols.
Admissions Holding Unit Charge Nurse
John Peter Smith Hospital
04.2019 - Current
- Serve as the go-to person for nurses and support staff during shift.
- Responded to code blue, rapid response, and other urgent clinical events supporting bedside staff ensuring adherence to hospital protocols.
- Oversaw admissions and patient assessment to ensure equitable workload distribution based on acuity and staff competency.
- Supervised shift operations for high-acuity unit, managing, patient assignments, staffing needs, and unit flow to ensure safe and efficient care delivery.
- Contributed to a positive work environment by actively participating in unit meetings, sharing ideas to improve efficiency or address ongoing challenges faced by colleagues.
- Mentored newly hired nurses to ensure seamless integration into the team and facilitate their professional development.
- Address staff concerns, patient/family complaints, and clinical issues in real time.
- Remain proficient in PCU-level care (e.g., cardiac monitoring,titrating IV drips, managing post-op or step-down patients).
Emergency Department Charge Nurse
John Peter Smith Hospital
04.2019 - 04.2020
- Coordinated daily operations of a high volume Emergency Department, managing staff assignments, patient flow, and resource allocation to ensure timely, safe, and effective care delivery.
- Acted as liaison between nursing staff, physicians, ancillary departments, and hospital administration to resolve operational issues and improve care coordination.
- Provided clinical oversight and hands-on support in critical situations, including trauma resuscitations, cardiac arrest, and behavioral health crises.
- Led rapid response and code team efforts, ensured staff randiness and protocol compliance durong medical emergencies and ass casualty drills.
- Mentored new staff and travel Nurses, promoting clinical development, policy adherence, and positive team dynamics under high stress situations.
Emergency Room Patient Flow Coordinator
John Peter Smith Hospital
11.2018 - 04.2019
- Managed bed availability by monitoring capacity levels daily, adjusting resources as needed to accommodate fluctuations in demand.
- Actively tracked Monitor ED Census and Patient wait times to identify bottlenecks and implement rea-time solutions that improved department efficiency.
- Prioritized high-acuity and time- sensitive cases( e.g, stroke, STEMI, sepsis) to reduce delays in care and meet national benchmark time goals.
- Supported decision0-making during surge events, reassigning resources and escalating cases as needed to maintain patient safety and operational flow.
- Delivered timely communication to patients and families regarding delays, room assignments, or transition in are, enhancing patient satisfaction and experience.
Emergency Room Registered Nurse
John Peter Smith Hospital
03.2012 - 11.2018
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assisted physicians during invasive procedures such as central line insertions or intubations, ensuring safe and accurate completion of tasks.
- Facilitated clear communication with patients, families, and colleagues, fostering a positive environment in a fast-paced setting.
- Answered codes quickly and orchestrated efficient, skilled medical care.
- Deescalated tense situations involving agitated patients or family members through active listening skills and empathetic responses.
- Teamed on trauma and emergency interventions involving serious head injuries, gunshot wounds, and thoracic trauma.
Oncology Nurse PRN
John Peter Smith Health Network
01.2011 - 01.2018
- Educated patients and families about cancer treatments, side effects, and self-care strategies, empowering them to make informed decisions.
- Conducted pre-infusion assessments including lab review, vital signs, symptom evaluation and chemotherapy order verification to ensure patient readiness and safety.
- Monitored for and managed infusion-related reactions and side effects, initiating emergency interventions and escalating care as needed.
- Collaborated closely with oncologist, pharmacist, and case managers to coordinate treatment plans, address patient concerns, and optimize therapeutic outcomes.
- Ensured Safe Handling, mixing, and disposal of hazardous drugs in compliance with OSHA and ONS guidelines.
- Administered chemotherapy, immunotherapy and supportive infusion in accordance with evidence-base protocols and oncology safety standards.
Progressive Care Registered Nurse
John Peter Smith Hospital
03.2011 - 03.2012
- Serve as an Alternate Charge Nurse delivering high-quality care tp patients with acute cardiac , respiratory, neurological, and post-operative conditions requiring continuous telemetry and close monitoring.
- Monitored and interpreted cardiac rhythms, identifying arrhythmias and initiating timely interventions in coordination with te health care teams.
- Administered and titrated critical IV medications and drips( e.g, insulin, heparin, amiodarone, cardizem) per protocol and providers orders.
- Performed frequent, comprehensive assessments, recognized early signs of deterioration, and responded to rapid changes i patient conditions.
- Collaborated with interdisciplinary teams including physicians, respiratory therapist, physical therapist, and case managers to develop and execute individualized care plans.
Observation Unit Staff Nurse
John Peter Smith Hospital
03.2009 - 03.2011
- Provided care for Patients requiring Short-term observation and ongoing evaluation for conditions such as chest pain, syncope, dehydration, and post -procedure monitoring.
- Conducted comprehensive assessments on assigned patients upon admission that includes physical, emotional, social factors contributing towards their overall wellbeing.
- Prevented complications by closely monitoring vital signs, recognizing early warning signs of potential issues, and taking immediate action as needed.
- Documented and maintained accurate nursing records to facilitate provision of care and nursing management of patient.
- Reduced hospital readmissions by providing thorough discharge education and follow-up care instructions for patients and families.
Education
Bachelor of Science - Nursing
Texas Woman's University
Denton, TX08-2008
Skills
- Diverse emergency and acute care experience
- Adaptable in triage and trauma roles
- Experienced in managing STEMI, sepsis, stroke, and trauma activations
- Knowledgeable in Level 1-3 Trauma activation Procedures
- Proficient in training and supporting new healthcare professionals
- Proficient in Peripheral Iv insertion
- Experienced in Mediport access techniques
- Bilingual
- Team-oriented approach
- Teamwork and collaboration
Certification
BLS, ACLS, PALS, TNCC, NIHSS
Timeline
Urgent Care Registered Nurse
John Peter Smith Hospital
05.2020 - Current
Emergency Department Charge Nurse
John Peter Smith Hospital
04.2019 - 04.2020
Admissions Holding Unit Charge Nurse
John Peter Smith Hospital
04.2019 - Current
Emergency Room Patient Flow Coordinator
John Peter Smith Hospital
11.2018 - 04.2019
Emergency Room Registered Nurse
John Peter Smith Hospital
03.2012 - 11.2018
Progressive Care Registered Nurse
John Peter Smith Hospital
03.2011 - 03.2012
Oncology Nurse PRN
John Peter Smith Health Network
01.2011 - 01.2018
Observation Unit Staff Nurse
John Peter Smith Hospital
03.2009 - 03.2011
Bachelor of Science - Nursing
Texas Woman's University
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